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J Orthop Trauma. 2011 May;25(5):e47-50. doi: 10.1097/BOT.0b013e3181ea5bd1.

Reduction of irreducible Hawkins III talar neck fracture by means of a medial malleolar osteotomy: a report of three cases with a 4-year mean follow-up.

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Division of Orthopaedics and Trauma Surgery, University Hospitals of Geneva, Geneva, Switzerland.


We report three cases of a closed Hawkins III talar neck fracture in which the posteromedially dislocated talar body was irreducible even with combined anteromedial and anterolateral approaches. Our intraoperative solution was to proceed with a medial malleolar osteotomy, which resulted in an easy reduction. The combined incisions provided excellent exposure for anatomic reduction and rigid internal fixation. At a mean follow-up of 4 years, all fractures had healed with no evidence of avascular necrosis or talar dome collapse.

[Indexed for MEDLINE]

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